| Code | Description | Claims | Beneficiaries | Total Paid |
| Z1034 |
|
704 |
433 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,872 |
1,635 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,049 |
4,381 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
290 |
243 |
$27K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
95 |
95 |
$18K |
| Z1032 |
|
73 |
73 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
185 |
185 |
$8K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
510 |
325 |
$7K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
172 |
171 |
$5K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
172 |
171 |
$5K |
| 86592 |
|
1,188 |
1,187 |
$4K |
| 59425 |
|
415 |
245 |
$3K |
| 99381 |
|
31 |
31 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
185 |
185 |
$2K |
| 88150 |
|
339 |
338 |
$2K |
| 64435 |
|
79 |
79 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
125 |
125 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
26 |
25 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
29 |
29 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
40 |
24 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
42 |
42 |
$873.21 |
| 92552 |
|
124 |
124 |
$777.69 |
| 85018 |
|
835 |
829 |
$634.72 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
24 |
24 |
$620.36 |
| 96156 |
|
13 |
13 |
$542.76 |
| 90686 |
|
81 |
76 |
$493.29 |
| 90670 |
|
73 |
72 |
$441.00 |
| 92551 |
|
132 |
132 |
$328.32 |
| 90744 |
|
38 |
38 |
$252.00 |
| 86703 |
|
17 |
17 |
$198.54 |
| 90713 |
|
24 |
24 |
$180.00 |
| 90700 |
|
25 |
25 |
$153.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
141 |
141 |
$149.24 |
| 81025 |
|
129 |
129 |
$137.26 |
| 83655 |
|
12 |
12 |
$134.16 |
| 90633 |
|
14 |
14 |
$94.50 |
| 90680 |
|
13 |
13 |
$90.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
251 |
250 |
$49.00 |
| 97802 |
|
143 |
143 |
$30.35 |
| 90685 |
|
14 |
14 |
$25.00 |
| 85014 |
|
27 |
27 |
$2.11 |
| 92560 |
|
14 |
14 |
$0.00 |
| 92060 |
|
12 |
12 |
$0.00 |